Healthcare Provider Details

I. General information

NPI: 1073771218
Provider Name (Legal Business Name): ANNE-MARIE MCMAHON MS CCCSLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE-MARIE HENRY

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 STRASSNER DR
SAINT LOUIS MO
63144-1872
US

IV. Provider business mailing address

1335 STRASSNER DR
SAINT LOUIS MO
63144-1872
US

V. Phone/Fax

Practice location:
  • Phone: 844-502-7996
  • Fax:
Mailing address:
  • Phone: 844-502-7996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP7957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: